<?php include 'header.php'; ?>
	
	<h1> Contact Us</h1>
	    <form class="form-horizontal">
		
		
    <div class="control-group">
	<label class="control-label" for="inputFirstName">First Name</label>
    <div class="controls">
    <input type="text" id="inputFirstName" placeholder="First Name">
    </div>
    </div>
	
	<div class="control-group">
    <label class="control-label" for="inputLastName">Last Name</label>
    <div class="controls">
    <input type="text" id="inputLastName" placeholder="Last Name">
    </div>
	</div>
	
	<div class="control-group">
    <label class="control-label" for="inputAddres">Address</label>
    <div class="controls">
    <input type="text" id="inputAdress" placeholder="Address">
    </div>
	</div>
	
	<div class="control-group">
    <label class="control-label" for="inputPhone">Phone</label>
    <div class="controls">
    <input type="text" id="inputPhone" placeholder="Phone">
    </div>
	</div>
	
	<div class="control-group">
    <label class="control-label" for="inputEmail">Email</label>
	<div class="controls">
    <input type="text" id="inputEmail" placeholder="Email">
	</div>
	</div>
	
	<div class="control-group">
	<label class="control-label" for="inputComments">Comments</label>
	<div class="controls">
	<textarea rows="5"></textarea>
	</div>
    </div>
   
    
    <div class="control-group">
    <div class="controls">
    <button type="submit" class="btn">Send Information</button>
    </div>
    </div>
	</form>
	
   
	
<?php include 'footer.php'; ?>